Active NPI
Deepa Pandian, D.M.D.
- Pediatric Dentistry
- Arlington, VA
National Provider Identifier
1326237116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 0401417575
- Practice address
- 5500 Columbia Pike Ste a
Arlington, VA 22204-5867 - Phone
- (703) 671-5437
- NPI assigned
- Oct 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 55231 | CA | |
| Pediatric Dentistry | 1223P0221X | 0401417575 | VA | Primary |
Addresses
Primary practice location
5500 Columbia Pike Ste a
Arlington, VA 22204-5867
Mailing address
5205 Melrose Ave
Los Angeles, CA 90038-3144
Phone (323) 337-1789
Other practice location 1
5205 Melrose Ave
Los Angeles, CA 90038-3144
Phone (323) 337-1789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55231 | CA | MD | General Practice Dentistry |
| 0401417575 | VA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apk Pediatric Smiles | Pediatric Dentistry | Current | Accepting new patients |
| Fidel Dental Group | Pediatric Dentistry | Past | Accepting new patients |
Locations
5500 Columbia Pike
Ste A
Arlington, VA 22204
Phone (703) 671-5437
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Arlington Pediatric Dentistry
- Pediatric Dentistry
- Arlington, VA
- NPI 1285302265
-
dba Arlington Pediatric Dentistry
- Pediatric Dentistry
- Arlington, VA
- NPI 1043510282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1326237116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5205 MELROSE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900383144",
"telephone_number": "323-337-1789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 COLUMBIA PIKE STE A",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222045867",
"telephone_number": "703-671-5437"
}
],
"practiceLocations": [
{
"address_1": "5205 Melrose Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900383144",
"country_code": "US",
"telephone_number": "323-337-1789",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANDIAN",
"first_name": "DEEPA",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-17",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "55231",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "VA",
"license": "0401417575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.